Individual
MICHELLE A BUSSOLOTTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
489 GOLD STAR HWY STE 209, GROTON, CT 06340-6227
(860) 535-9922
Mailing address
2 BRIAR HILL DR, OLD LYME, CT 06371-1847
(860) 961-4951
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/20/2006
Last updated
10/12/2021
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